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Society of Cosmetic Chemists

Madam C.J. Walker Scholarship

APPLICATION

DEADLINE FOR SUBMISSION: May 17, 2024 (11:59pm EDT)

("Complete" submissions must be received by the deadline to be considered. A “complete” submission consists of this online application, plus two (2) letters of recommendation and official transcript with GPA sent to jlewis@scconline.org)

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Personal Information
Full (Legal) Name

First Name
Last Name
Preferred Name
Email Address
Alternate Email (Strongly Recommended)
Phone
Area CodePhone Number
Alternate Phone (If Any)
Area CodePhone Number
Date of Application
Month - Day - Year
Under-Represented Minority Group Assertion
Are you an SCC Member?

Yes
No
If yes, which chapter?
Address (Note: Applicants must reside in the United States or Canada.)

Present/Current Address

Street Address
Street Address 2
City	State
Zip Code	Country

Permanent Address (If different from present address)

Street Address
Street Address 2
City	State
Zip Code	Country

Education Institution Name

Education Institution Address

Street Address
Street Address 2
City	State
Zip Code	Country

Academic Advisor

First Name
Last Name
Advisor Email
Advisor Phone Number
Area CodePhone Number
Program Type
Present Year in Program
(e.g. Freshman, 3rd year, etc)
Eligible Field of Study
If other, please specify
Anticipated Graduation Date
(December 2023 at earliest to be eligible)
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Personal Statements
Describe how you embody the spirit and legacy of Madam CJ Walker
(in 2000 characters or less, including spaces)
Statement of your accomplishments and your career goals/professional development plan
(in 2000 characters or less, including spaces)
Description of your aspirations and potential impact in the cosmetics and personal care industry
(in 2000 characters or less, including spaces)
Personal statement describing why you are deserving of the scholarship and how it will help you achieve your goals
(in 2000 characters or less, including spaces)
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Educational Background
(chronological order, with most recent data first)
Institution 1

Institution Name
Degree(s) Attained
Dates of Attendance
Institution 2

Institution Name
Degree(s) Attained
Dates of Attendance
Institution 3

Institution Name
Degree(s) Attained
Dates of Attendance
Institution 4

Institution Name
Degree(s) Attained
Dates of Attendance
Work or Volunteer Experience
(chronological order, with most recent data first)
Organization 1

Organization Name
Position/Title
Dates of Employment/Service
Organization 2

Organization Name
Position/Title
Dates of Employment/Service
Organization 3

Organization Name
Position/Title
Dates of Employment/Service
Association or Club Activities
(chronological order, with most recent data first)
Organization 1

Organization Name
Position/Title
Dates
Organization 2

Organization Name
Position/Title
Dates
Organization 3

Organization Name
Position/Title
Dates
Academic Achievements, Honors/Awards
(chronological order, with most recent data first)
Award/Achievement 1

Title of Award/Achievement
Conferred by
Date
Award/Achievement 2

Title of Award/Achievement
Conferred by
Date
Award/Achievement 3

Title of Award/Achievement
Conferred by
Date

[Note: if you choose to "Save & Resume Later," and request a continuation link via email, the email you receive should have a "From" address of "jeff@jlsystems.com"]

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Society of Cosmetic Chemists

Madam C.J. Walker Scholarship

APPLICATION

DEADLINE FOR SUBMISSION: May 17, 2024 (11:59pm EDT)

("Complete" submissions must be received by the deadline to be considered. A “complete” submission consists of this online application, plus two (2) letters of recommendation and official transcript with GPA sent to jlewis@scconline.org)

Sponsored by

Personal Information

Address (Note: Applicants must reside in the United States or Canada.)

Personal Statements

Educational Background

Work or Volunteer Experience

Association or Club Activities

Academic Achievements, Honors/Awards

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